Active NPI
Social Clubhouse Inc.
- Community/Behavioral Health Agency
- Springfield, NJ
National Provider Identifier
1922465129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- 2000617
- Legal business name
- SOCIAL CLUBHOUSE INC.
- Practice address
- 58 Brown Ave
Springfield, NJ 07081-2902 - Phone
- (973) 376-2500
- Fax
- (973) 376-5737
- NPI assigned
- Jan 20, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Joseph Goldblatt
- Title
- President
- Phone
- (973) 376-2500
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | 2000617 | NJ | Primary |
Addresses
Primary practice location
58 Brown Ave
Springfield, NJ 07081-2902
Mailing address
58 Brown Ave
Springfield, NJ 07081-2902
National Provider Directory
National Provider Directory- Tax ID family
- Social Clubhouse Inc
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Springfield, NJ
- NPI 1720124860
-
- Case Management Agency
- Springfield, NJ
- NPI 1659738854
Locations
58 Brown Ave
Springfield, NJ 07081
Phone (908) 274-6601
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1453248000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1453248000000",
"number": "1922465129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "58 BROWN AVE",
"city": "SPRINGFIELD",
"state": "NJ",
"postal_code": "070812902"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "58 BROWN AVE",
"city": "SPRINGFIELD",
"state": "NJ",
"postal_code": "070812902",
"telephone_number": "973-376-2500",
"fax_number": "973-376-5737"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SOCIAL CLUBHOUSE INC.",
"organizational_subpart": "NO",
"enumeration_date": "2016-01-20",
"last_updated": "2016-01-20",
"status": "A",
"authorized_official_last_name": "GOLDBLATT",
"authorized_official_first_name": "JOSEPH",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "973-376-2500"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NJ",
"license": "2000617",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.